Nursing homes › Delaware › Cadia Rehabilitation Broadmeadow
500 South Broad Street, Middletown, DE 19709 · 3024493400 · 120 certified beds
Per CMS filings, this facility is affiliated with Cadia Healthcare, a group operating 5 facilities in 1 states. Group record: average rating 2.8/5, 0 abuse citation icons, 1 facilities on the Special Focus list, $189,730 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 3.88 (Delaware median: 3.92). RN hours: 0.71. Weekend total: 3.59. Nursing staff turnover: 45%.
All-time on record: 41 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | Deficient, Provider has no plan of correction |
| 2026-05-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-05-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-05-29 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-01-30 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Health | corrected 2026-03-17 |
| 2026-01-30 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2026-03-17 |
| 2026-01-30 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2026-03-17 |
| 2026-01-30 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2026-03-17 |
| 2026-01-30 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2026-03-17 |
| 2026-01-30 | Respond appropriately to all alleged violations. | D | Health | corrected 2026-03-17 |
| 2026-01-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-03-17 |
| 2026-01-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-03-17 |
| 2026-01-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-03-17 |
| 2026-01-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-03-17 |
| 2026-01-30 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-03-17 |
| 2026-01-30 | Implement a program that monitors antibiotic use. | D | Health | corrected 2026-03-17 |
| 2025-11-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-12-29 |
| 2025-07-07 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | complaint | corrected 2025-07-29 |
| 2025-07-07 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | J | complaint | corrected 2025-07-29 |
| 2025-07-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-07-29 |
| 2025-07-07 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | complaint | corrected 2025-07-29 |
| 2025-01-22 | Provide enough food/fluids to maintain a resident's health. | G | complaint | corrected 2025-04-14 |
| 2025-01-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-03-08 |
| 2025-01-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-03-08 |
| 2025-01-22 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-03-08 |
| 2025-01-22 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-03-08 |
| 2025-01-22 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Health | corrected 2025-03-08 |
| 2025-01-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-03-08 |
| 2025-01-22 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-03-08 |
| 2025-01-22 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Health | corrected 2025-03-08 |
| 2025-01-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-04-14 |
| 2025-01-22 | Assist a resident in gaining access to vision and hearing services. | D | complaint | corrected 2025-03-08 |
| 2025-01-22 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2025-03-08 |
| 2025-01-22 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Health | corrected 2025-03-08 |
| 2025-01-22 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-03-08 |
| 2025-01-22 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Health | corrected 2025-03-08 |
| 2025-01-22 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Health | corrected 2025-04-14 |
| 2025-01-22 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Health | corrected 2025-03-08 |
| 2025-01-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-03-08 |
| 2025-01-22 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Health | corrected 2025-03-08 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-07 | Fine | $17,610 |
| 2025-01-22 | Fine | $61,516 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SCHAFER FAMILY LLC | 5% Or Greater Direct Ownership Interest | Organization | 50% | since 12/31/2010 |
| SILVER HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 50% | since 12/31/2010 |
| RONALD E SCHAFER IRREV TR FBO ERIC ROBERT SCHAFER | 5% Or Greater Indirect Ownership Interest | Organization | 5% | since 12/31/2010 |
| RONALD E SCHAFER IRREV TRFBO LAUREN ELIZABETH MARIE SCHAFER | 5% Or Greater Indirect Ownership Interest | Organization | 5% | since 12/31/2010 |
| STEPHEN SILVER IRREVOCABLE TRUST FBO CASEY SILVER | 5% Or Greater Indirect Ownership Interest | Organization | 5% | since 12/31/2010 |
| STEPHEN SILVER IRREVOCABLE TRUST FBO JONATHAN SILVER | 5% Or Greater Indirect Ownership Interest | Organization | 5% | since 12/31/2010 |
| SCHAFER, ERIC | 5% Or Greater Indirect Ownership Interest | Individual | 5% | since 12/31/2010 |
| SCHAFER, LAUREN | 5% Or Greater Indirect Ownership Interest | Individual | 5% | since 12/31/2010 |
| SILVER, JONATHAN | 5% Or Greater Indirect Ownership Interest | Individual | 5% | since 12/31/2010 |
| LITWA, KAREN | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2005 |
| LONG TERM CARE CORP | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/01/2005 |
| DITTMAR, LAURA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/24/2025 |
| HYLTON, ALFRED | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/24/2025 |
| PRICE, ELIZABETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/24/2025 |
| SCHAFER, RON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/24/2025 |
| SILVER, STEPHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/24/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 085050. Corrections: data@carerecords.org.